精准肝切除术治疗复杂肝肿瘤的临床体会  

Experiences of Precise Liver Resection for Complex Hepatic Neoplasm

作　　者：孙德云[1] 王琳[1] 施智甜 戈佳云[1] 李越华[1] 邹浩[1] 

机构地区：[1]昆明医科大学第二附属医院肝胆外科,云南昆明650101

出　　处：《昆明医科大学学报》2013年第2期48-51,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81060204);云南省中青年学术技术带头人后备人才资助项目(2008PYD18);云南省自然科学基金资助项目(2010CD080)

摘　　要：目的总结精准肝切除术治疗复杂肝肿瘤的经验方法回顾分析昆明医科大学第二附属医院肝胆外科自2010年4月至2012年2月收治的9例复杂肝脏肿瘤患者并行精准肝切除术的临床资料结果 9例患者手术过程顺利,术后均未发生肝衰、肾衰、肝性脑病等情况;术后平均10 d肝功能恢复正常,平均住院时间20d.术后随访半年生存率100%.结论精准肝切除技术能直观显示肝脏血管及与肿瘤的关系,可提高复杂肝脏肿瘤切除的安全性.Objective To discuss the experiences of precise liver resection for complex Hepatic Neoplasm. Method Clinical data were retrospectively studied in 9 patients with complex Hepatic Neoplasm treated by precise liver resection in the Second Affiliatted Hospital of Kunming Medical University from 2010-4 to 2012-2. Results All patients underwent the operation successfully without severe complications such as hepatic failure, renal fail and hepatic encephalopathy. The liver function tests showed normal results within 10 days after operation and the patients were discharged at 20 days post operatively. Six month survival rate was 100%. Conclusion Precise hepatectomy technique can provide an accurate picture of liver veins anatomy and its relationship with the tumor, and improve the safety of hepatectomy.

关 键 词：精准肝切除 肝肿瘤 3D图像重建 肝储备功能 

分 类 号：R735.7[医药卫生—肿瘤]